"Table 6P.3b - List of the ICD-10-CM diagnosis codes, with data on impact on resource use when reported as a secondary diagnosis, that commenters suggested CMS review to determine if changes to the severity level designations are warranted in future rulemaking"													
September 2023 update of the FY 2023 MedPAR file													
ICD-10-CM Diagnosis Code	Description	V41.1 Severity Designation	V42 Severity Designation	Total Count	Counts 1	 Impact 1 	Counts 2	 Impact 2 	Counts 3	 Impact 3 	 Percent Died 	 Percent OR 	Flag
D61.9	"Aplastic anemia, unspecified"	CC	CC	" 1,896 "	 74 	 2.1653 	 594 	 2.2814 	" 1,228 "	 3.3354 	 7.86 	 19.78 	NC
E43	Unspecified severe protein-calorie malnutrition	MCC	MCC	" 347,021 "	" 5,361 "	 2.0662 	" 115,648 "	 2.5531 	" 226,012 "	 3.4119 	 9.04 	 19.14 	NC
I31.4	Cardiac tamponade	CC	CC	" 5,479 "	 20 	 0.9130 	" 1,063 "	 2.5480 	" 4,396 "	 3.3704 	 19.51 	 65.14 	NC
R53.2	Functional quadriplegia	MCC	MCC	" 36,555 "	 790 	 1.9850 	" 7,267 "	 2.5339 	" 28,498 "	 3.3530 	 9.21 	 13.82 	NC
R57.9	"Shock, unspecified"	CC	CC	" 23,628 "	 141 	 1.8683 	" 2,080 "	 2.5784 	" 21,407 "	 3.3408 	 35.31 	 29.94 	NC
Z55.0	Illiteracy and low-level literacy	NonCC	NonCC	 469 	 44 	 0.7934 	 178 	 1.5000 	 247 	 2.2735 	 1.71 	 17.27 	NC
Z55.1	Schooling unavailable and unattainable	NonCC	NonCC	 10 	 1 	 1.8509 	 3 	 2.6850 	 6 	 3.5133 	 -   	 50.00 	LV
Z55.2	Failed school examinations	NonCC	NonCC	 1 	 -   	 -   	 1 	 0.5976 	 -   	 -     	 -   	 -   	LV
Z55.3	Underachievement in school	NonCC	NonCC	 5 	 1 	 0.2645 	 4 	 0.4790 	 -   	 -     	 -   	 -   	LV
Z55.4	Educational maladjustment and discord with teachers and classmates	NonCC	NonCC	 11 	 2 	 4.0000 	 6 	 2.1684 	 3 	 3.1464 	 -   	 18.18 	LV
Z55.5	Less than a high school diploma	NonCC	NonCC	 376 	 51 	 2.1325 	 208 	 2.3100 	 117 	 2.5832 	 0.53 	 6.38 	NC
Z55.6	Problems related to health literacy	NonCC	NonCC	" 1,454 "	 112 	 0.8461 	 609 	 1.5851 	 733 	 2.3922 	 1.93 	 12.17 	NC
Z55.8	Other problems related to education and literacy	NonCC	NonCC	 106 	 11 	 1.5328 	 47 	 2.3967 	 48 	 2.8373 	 1.89 	 20.75 	LV
Z55.9	"Problems related to education and literacy, unspecified"	NonCC	NonCC	 854 	 79 	 2.0601 	 349 	 2.3859 	 426 	 3.0202 	 1.41 	 11.83 	NC
Z56.0	"Unemployment, unspecified"	NonCC	NonCC	" 11,722 "	" 1,556 "	 1.8513 	" 6,388 "	 1.6710 	" 3,778 "	 2.7319 	 0.56 	 12.00 	NC
Z56.1	Change of job	NonCC	NonCC	 4 	 1 	 1.6515 	 2 	 2.6059 	 1 	 0.2611 	 -   	 -   	LV
Z56.2	Threat of job loss	NonCC	NonCC	 8 	 4 	 0.7391 	 3 	 3.3097 	 1 	 4.0000 	 -   	 25.00 	LV
Z56.3	Stressful work schedule	NonCC	NonCC	 20 	 6 	 1.4346 	 11 	 1.0766 	 3 	 0.7607 	 -   	 15.00 	LV
Z56.4	Discord with boss and workmates	NonCC	NonCC	 3 	 1 	 2.3138 	 1 	 0.3796 	 1 	 4.0000 	 -   	 -   	LV
Z56.5	Uncongenial work environment	NonCC	NonCC	 4 	 -   	 -   	 2 	 3.3286 	 2 	 2.4521 	 -   	 25.00 	LV
Z56.6	Other physical and mental strain related to work	NonCC	NonCC	 140 	 25 	 0.7435 	 75 	 0.9746 	 40 	 2.0630 	 -   	 24.29 	LV
Z56.81	Sexual harassment on the job	NonCC	NonCC	 1 	 -   	 -   	 -   	 -     	 1 	 0.9225 	 -   	 -   	LV
Z56.82	Military deployment status	NonCC	NonCC	 8 	 2 	 3.4032 	 4 	 3.2754 	 2 	 3.4381 	 -   	 50.00 	LV
Z56.89	Other problems related to employment	NonCC	NonCC	 33 	 7 	 0.8693 	 14 	 0.7157 	 12 	 2.5597 	 -   	 21.21 	LV
Z56.9	Unspecified problems related to employment	NonCC	NonCC	 126 	 41 	 0.6571 	 57 	 0.9087 	 28 	 2.3746 	 2.38 	 11.90 	LV
Z58.6	Inadequate drinking-water supply	NonCC	NonCC	 52 	 3 	 3.2375 	 27 	 0.7929 	 22 	 3.1634 	 -   	 9.62 	LV
Z58.81	Basic services unavailable in physical environment	NonCC	NonCC	 41 	 5 	 0.9627 	 14 	 0.6157 	 22 	 2.2790 	 2.44 	 14.63 	LV
Z58.89	Other problems related to physical environment	NonCC	NonCC	 501 	 76 	 0.9110 	 192 	 1.1748 	 233 	 2.0993 	 1.40 	 24.95 	NC
Z59.00	Homelessness unspecified	CC	CC	" 26,409 "	" 3,389 "	 2.0423 	" 12,550 "	 2.2379 	" 10,470 "	 3.1131 	 1.00 	 10.39 	NC
Z59.01	Sheltered homelessness	CC	CC	" 8,141 "	 949 	 2.0895 	" 3,652 "	 2.3671 	" 3,540 "	 3.0606 	 0.97 	 10.92 	NC
Z59.02	Unsheltered homelessness	CC	CC	" 5,611 "	 578 	 2.1913 	" 2,671 "	 2.3095 	" 2,362 "	 3.2225 	 1.09 	 12.85 	NC
Z59.2	"Discord with neighbors, lodgers and landlord"	NonCC	NonCC	 127 	 19 	 2.1767 	 81 	 2.2072 	 27 	 3.0929 	 0.79 	 3.15 	LV
Z59.3	Problems related to living in residential institution	NonCC	NonCC	 919 	 84 	 1.2680 	 344 	 2.2640 	 491 	 2.8803 	 4.24 	 11.21 	NC
Z59.41	Food insecurity	NonCC	NonCC	" 6,634 "	 548 	 0.9273 	" 3,043 "	 2.0218 	" 3,043 "	 2.6077 	 1.15 	 19.42 	NC
Z59.48	Other specified lack of adequate food	NonCC	NonCC	 256 	 13 	 0.9393 	 120 	 2.4336 	 123 	 3.2640 	 1.17 	 13.67 	NC
Z59.5	Extreme poverty	NonCC	NonCC	 68 	 5 	 1.7728 	 35 	 1.0214 	 28 	 3.0551 	 -   	 27.94 	LV
Z59.6	Low income	NonCC	NonCC	" 4,244 "	 366 	 2.2102 	" 1,840 "	 2.4423 	" 2,038 "	 3.0661 	 0.99 	 20.92 	1+
Z59.7	Insufficient social insurance and welfare support	NonCC	NonCC	" 4,180 "	 347 	 1.9459 	" 1,706 "	 2.5593 	" 2,127 "	 3.0313 	 1.12 	 21.27 	1+
Z59.82	Transportation insecurity	NonCC	NonCC	" 6,538 "	 443 	 0.9687 	" 2,756 "	 2.0501 	" 3,339 "	 2.5795 	 1.58 	 17.76 	NC
Z59.86	Financial insecurity	NonCC	NonCC	" 5,602 "	 501 	 2.3078 	" 2,629 "	 2.3714 	" 2,472 "	 3.0387 	 1.05 	 18.10 	1+
Z59.87	"Material hardship due to limited financial resources, not elsewhere classified"	NonCC	NonCC	 189 	 16 	 1.6578 	 80 	 2.0452 	 93 	 2.4988 	 3.17 	 17.99 	LV
Z59.89	Other problems related to housing and economic circumstances	NonCC	NonCC	" 3,967 "	 356 	 1.1007 	" 1,614 "	 2.0037 	" 1,997 "	 2.6303 	 2.47 	 18.43 	NC
Z59.9	"Problem related to housing and economic circumstances, unspecified"	NonCC	NonCC	" 2,752 "	 268 	 1.3290 	" 1,200 "	 1.3746 	" 1,284 "	 2.2896 	 2.76 	 14.75 	NC
Z60.0	Problems of adjustment to life-cycle transitions	NonCC	NonCC	 270 	 21 	 1.9300 	 107 	 1.8866 	 142 	 2.7596 	 4.07 	 21.85 	NC
Z60.2	Problems related to living alone	NonCC	NonCC	" 43,129 "	" 4,988 "	 1.2484 	" 18,603 "	 2.0548 	" 19,538 "	 2.7321 	 1.95 	 21.36 	NC
Z60.3	Acculturation difficulty	NonCC	NonCC	" 1,768 "	 130 	 1.1026 	 683 	 2.1211 	 955 	 3.0066 	 2.04 	 19.00 	NC
Z60.4	Social exclusion and rejection	NonCC	NonCC	" 2,407 "	 215 	 0.9441 	" 1,115 "	 1.4595 	" 1,077 "	 2.4830 	 1.45 	 19.98 	NC
Z60.5	Target of (perceived) adverse discrimination and persecution	NonCC	NonCC	 14 	 3 	 2.9736 	 7 	 1.6490 	 4 	 1.4139 	 -   	 14.29 	LV
Z60.8	Other problems related to social environment	NonCC	NonCC	" 4,592 "	 366 	 2.2260 	" 2,129 "	 2.6594 	" 2,097 "	 3.3061 	 1.70 	 14.72 	1+
Z60.9	"Problem related to social environment, unspecified"	NonCC	NonCC	" 2,869 "	 272 	 1.1697 	" 1,293 "	 2.1459 	" 1,304 "	 2.9337 	 1.25 	 15.72 	NC
Z62.0	Inadequate parental supervision and control	NonCC	NonCC	 6 	 1 	 0.8411 	 3 	 3.5537 	 2 	 4.0000 	 -   	 -   	LV
Z62.1	Parental overprotection	NonCC	NonCC	 -   	 -   	 -   	 -   	 -     	 -   	 -     	 -   	 -   	LV
Z62.21	Child in welfare custody	NonCC	NonCC	 11 	 -   	 -   	 6 	 2.5159 	 5 	 2.0389 	 -   	 18.18 	LV
Z62.22	Institutional upbringing	NonCC	NonCC	 14 	 -   	 -   	 6 	 2.3131 	 8 	 1.8323 	 7.14 	 -   	LV
Z62.23	Child in custody of non-parental relative	NonCC	NonCC	 -   	 -   	 -   	 -   	 -     	 -   	 -     	 -   	 -   	LV
Z62.24	Child in custody of non-relative guardian	NonCC	NonCC	 -   	 -   	 -   	 -   	 -     	 -   	 -     	 -   	 -   	LV
Z62.29	Other upbringing away from parents	NonCC	NonCC	 7 	 3 	 0.8595 	 3 	 2.1949 	 1 	 0.9595 	 -   	 57.14 	LV
Z62.3	Hostility towards and scapegoating of child	NonCC	NonCC	 -   	 -   	 -   	 -   	 -     	 -   	 -     	 -   	 -   	LV
Z62.6	Inappropriate (excessive) parental pressure	NonCC	NonCC	 1 	 -   	 -   	 -   	 -     	 1 	 4.0000 	 -   	 -   	LV
Z62.810	Personal history of physical and sexual abuse in childhood	NonCC	NonCC	" 2,856 "	 408 	 1.9293 	" 1,973 "	 0.9879 	 475 	 2.7206 	 0.07 	 6.16 	NC
Z62.811	Personal history of psychological abuse in childhood	NonCC	NonCC	 438 	 63 	 3.0133 	 327 	 0.9361 	 48 	 2.7494 	 0.23 	 3.42 	NC
Z62.812	Personal history of neglect in childhood	NonCC	NonCC	 116 	 19 	 0.7045 	 87 	 0.7939 	 10 	 2.9570 	 -   	 2.59 	LV
Z62.813	Personal history of forced labor or sexual exploitation in childhood	NonCC	NonCC	 3 	 1 	 0.9965 	 2 	 0.6336 	 -   	 -     	 -   	 33.33 	LV
Z62.814	Personal history of child financial abuse	NonCC	NonCC	 -   	 -   	 -   	 -   	 -     	 -   	 -     	 -   	 -   	LV
Z62.815	Personal history of intimate partner abuse in childhood	NonCC	NonCC	 -   	 -   	 -   	 -   	 -     	 -   	 -     	 -   	 -   	LV
Z62.819	Personal history of unspecified abuse in childhood	NonCC	NonCC	 222 	 36 	 1.2153 	 131 	 1.3633 	 55 	 3.4278 	 0.90 	 11.26 	NC
Z62.820	Parent-biological child conflict	NonCC	NonCC	 131 	 26 	 2.0756 	 74 	 0.9414 	 31 	 2.7069 	 -   	 7.63 	LV
Z62.821	Parent-adopted child conflict	NonCC	NonCC	 11 	 3 	 2.1077 	 6 	 3.2257 	 2 	 2.3315 	 -   	 18.18 	LV
Z62.822	Parent-foster child conflict	NonCC	NonCC	 1 	 1 	 0.1579 	 -   	 -     	 -   	 -     	 -   	 -   	LV
Z62.823	Parent-step child conflict	NonCC	NonCC	 -   	 -   	 -   	 -   	 -     	 -   	 -     	 -   	 -   	LV
Z62.831	Non-parental relative-child conflict	NonCC	NonCC	 -   	 -   	 -   	 -   	 -     	 -   	 -     	 -   	 -   	LV
Z62.832	Non-relative guardian-child conflict	NonCC	NonCC	 -   	 -   	 -   	 -   	 -     	 -   	 -     	 -   	 -   	LV
Z62.833	Group home staff-child conflict	NonCC	NonCC	 -   	 -   	 -   	 -   	 -     	 -   	 -     	 -   	 -   	LV
Z62.890	Parent-child estrangement NEC	NonCC	NonCC	 224 	 17 	 2.6024 	 94 	 1.5769 	 113 	 3.1428 	 9.82 	 13.39 	NC
Z62.891	Sibling rivalry	NonCC	NonCC	 6 	 -   	 -   	 4 	 0.5085 	 2 	 1.2203 	 -   	 -   	LV
Z62.892	Runaway [from current living environment]	NonCC	NonCC	 -   	 -   	 -   	 -   	 -     	 -   	 -     	 -   	 -   	LV
Z62.898	Other specified problems related to upbringing	NonCC	NonCC	 34 	 7 	 0.8692 	 22 	 0.6368 	 5 	 0.9939 	 -   	 14.71 	LV
Z62.9	"Problem related to upbringing, unspecified"	NonCC	NonCC	 11 	 2 	 0.8389 	 7 	 0.7671 	 2 	 1.5934 	 -   	 18.18 	LV
Z64.0	Problems related to unwanted pregnancy	NonCC	NonCC	 6 	 -   	 -   	 4 	 1.3171 	 2 	 4.0000 	 -   	 33.33 	LV
Z64.1	Problems related to multiparity	NonCC	NonCC	 8 	 3 	 0.9007 	 3 	 0.9829 	 2 	 3.2481 	 -   	 62.50 	LV
Z64.4	Discord with counselors	NonCC	NonCC	 10 	 1 	 0.8630 	 6 	 3.0139 	 3 	 1.9229 	 -   	 10.00 	LV
Z65.1	Imprisonment and other incarceration	NonCC	NonCC	 659 	 87 	 1.0201 	 278 	 2.2230 	 294 	 3.0739 	 1.82 	 16.84 	NC
Z65.8	Other specified problems related to psychosocial circumstances	NonCC	NonCC	" 1,133 "	 106 	 0.9817 	 568 	 2.2503 	 459 	 2.8369 	 1.94 	 15.45 	NC
Z65.9	Problem related to unspecified psychosocial circumstances	NonCC	NonCC	 752 	 105 	 1.4748 	 384 	 2.0034 	 263 	 3.0089 	 1.06 	 13.83 	NC
Z77.120	Contact with and (suspected) exposure to mold (toxic)	NonCC	NonCC	 482 	 38 	 0.8914 	 148 	 2.3504 	 296 	 2.8828 	 1.87 	 14.11 	NC
